Research on the gap between the number matched and the number of first-year residents in Japanese training hospitals
- Are full-matched hospitals really "good training hospitals"?
DOI:
https://doi.org/10.52731/lir.v003.091Keywords:
matching system, post-graduate medical education, multiple regression analysisAbstract
Introduction: The success of residents is one of the most important factors in the vitality of a hospital. In order to clarify the actual situation of the matching system introduced as a recruiting tool for medical students in Japan, we examined the gap between the number matched and the actual number of first-year residents in the following year and analyzed the cause of this gap. Methods: National and public university (medical school) hospitals were included. All variables were obtained from public data. The change rate was calculated from the number matched, number of first-year residents. And then, summary data, correlation coefficients with other variables were analyzed, and finally multiple regression analysis was performed with the change rate as the independent variable. Results: All the target hospitals found a gap between the number matched and the actual number of first-year residents for the following year. The change rate was significantly correlated with the year of establishment of the medical school (p<0.05, r=0.348). Multiple regression analysis using a stepwise method also showed year of establishment of the medical school as a significant factor. Discussion and Conclusion: We revealed that the training hospital advertised as “full match” is not at capacity of the actual number of first-year residents. Hospital brand strength may influence the improvement of the gap. However, there is little data on KPIs in postgraduate education, and further data on initial training is required to be made publicly available.
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